| NPI | 1699253989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER K GIBSON Owner/Manager 719-523-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-05-29 |